Femoral cortical sleeve in revision arthroplasty 24 patients followed 2-10 years
22 women and 2 men with a mean age of 75 (51-90) years underwent replacement of the proximal femur for failed total hip arthroplasty by a modular femoral resection endoprosthesis (KMFTR). the indications were bone loss in aseptic loosening (n 8), fracture (n 12) and Girdlestone hips (n 4). After a m...
Gespeichert in:
| Veröffentlicht in: | Acta orthopaedica 1996, Vol.67 (5), p.424-430 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 430 |
|---|---|
| container_issue | 5 |
| container_start_page | 424 |
| container_title | Acta orthopaedica |
| container_volume | 67 |
| creator | Helwig, Ulf Bretschneider, Wolfgang Kotz, Rainer |
| description | 22 women and 2 men with a mean age of 75 (51-90) years underwent replacement of the proximal femur for failed total hip arthroplasty by a modular femoral resection endoprosthesis (KMFTR). the indications were bone loss in aseptic loosening (n 8), fracture (n 12) and Girdlestone hips (n 4). After a mean follow-up of 5 (2-10) years, the Harris Hip Score improved from an average of 17 (4-43) to 79 (50-97). in 19 patients, the proximal femur was kept as an autograft and was wrapped around the resection parts of the modular prosthesis as a cortical sleeve. Bone forma tion in these 19 hips took place in 18 at the dorsal, in 17 at the medial, in 8 at the lateral and in 7 at the ventral aspect of the femur. the bone bridge formed within the first year and persisted in amount and distribution during the time of observation.
In the 5 patients without a remaining cortical sleeve around the resection parts of the prosthesis, no bone bridge was formed. These 5 patients showed stress-shielding at the prosthesis-bone-junction. Until now, none of the 24 patients has undergone additional surgery. |
| doi_str_mv | 10.3109/17453679608996661 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_crossref_primary_10_3109_17453679608996661</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>78591984</sourcerecordid><originalsourceid>FETCH-LOGICAL-c473t-53bcbd6ddff970d4099b915603a50d76373db4a353e8392ce385785e8dad2f6f3</originalsourceid><addsrcrecordid>eNp9kEFrHCEUxyW0pGmSD5BDwUPpbVodHUdpLyE0SSHQHtrz4OiTNTjj9ukm7LfvLLtdKIWcfPh-__f0R8gVZx8FZ-YT72UnVG8U08YopfgJOdvdNULp9tWx7uUb8raUR8aEloadklNtpG6lOCM_bmHKaBN1GWt0S1ESwBPQOFOEp1hinqnFusK8TrbULW0lXdsaYa6FhpxSfgZP24YzugWL5YK8DjYVuDyc5-TX7defN_fNw_e7bzfXD42TvahNJ0Y3euV9CKZnXjJjRsM7xYTtmO-V6IUfpRWdAC1M60DortcdaG99G1QQ5-TDfu4a8-8NlDpMsThIyc6QN2VYYMONlgvI96DDXApCGNYYJ4vbgbNhZ3H4z-KSeXcYvhkn8MfEQdvSf3_o27I4C2hnF8sRa6Vetu-wL3ssziHjZJ8zJj9Uu00Z_2bES6_4_E98BTbVlbMIw2Pe4LzofeEPfwBrAZ65</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>78591984</pqid></control><display><type>article</type><title>Femoral cortical sleeve in revision arthroplasty 24 patients followed 2-10 years</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Helwig, Ulf ; Bretschneider, Wolfgang ; Kotz, Rainer</creator><creatorcontrib>Helwig, Ulf ; Bretschneider, Wolfgang ; Kotz, Rainer</creatorcontrib><description>22 women and 2 men with a mean age of 75 (51-90) years underwent replacement of the proximal femur for failed total hip arthroplasty by a modular femoral resection endoprosthesis (KMFTR). the indications were bone loss in aseptic loosening (n 8), fracture (n 12) and Girdlestone hips (n 4). After a mean follow-up of 5 (2-10) years, the Harris Hip Score improved from an average of 17 (4-43) to 79 (50-97). in 19 patients, the proximal femur was kept as an autograft and was wrapped around the resection parts of the modular prosthesis as a cortical sleeve. Bone forma tion in these 19 hips took place in 18 at the dorsal, in 17 at the medial, in 8 at the lateral and in 7 at the ventral aspect of the femur. the bone bridge formed within the first year and persisted in amount and distribution during the time of observation.
In the 5 patients without a remaining cortical sleeve around the resection parts of the prosthesis, no bone bridge was formed. These 5 patients showed stress-shielding at the prosthesis-bone-junction. Until now, none of the 24 patients has undergone additional surgery.</description><identifier>ISSN: 1745-3674</identifier><identifier>ISSN: 0001-6470</identifier><identifier>EISSN: 1745-3682</identifier><identifier>DOI: 10.3109/17453679608996661</identifier><identifier>PMID: 8948243</identifier><identifier>CODEN: AOSAAK</identifier><language>eng</language><publisher>Basingstoke: Informa UK Ltd</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Female ; Femur - surgery ; Hip Prosthesis - methods ; Humans ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Postoperative Complications ; Reoperation ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Treatment Outcome</subject><ispartof>Acta orthopaedica, 1996, Vol.67 (5), p.424-430</ispartof><rights>1996 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1996</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c473t-53bcbd6ddff970d4099b915603a50d76373db4a353e8392ce385785e8dad2f6f3</citedby><cites>FETCH-LOGICAL-c473t-53bcbd6ddff970d4099b915603a50d76373db4a353e8392ce385785e8dad2f6f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4022,27922,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2488593$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8948243$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Helwig, Ulf</creatorcontrib><creatorcontrib>Bretschneider, Wolfgang</creatorcontrib><creatorcontrib>Kotz, Rainer</creatorcontrib><title>Femoral cortical sleeve in revision arthroplasty 24 patients followed 2-10 years</title><title>Acta orthopaedica</title><addtitle>Acta Orthop Scand</addtitle><description>22 women and 2 men with a mean age of 75 (51-90) years underwent replacement of the proximal femur for failed total hip arthroplasty by a modular femoral resection endoprosthesis (KMFTR). the indications were bone loss in aseptic loosening (n 8), fracture (n 12) and Girdlestone hips (n 4). After a mean follow-up of 5 (2-10) years, the Harris Hip Score improved from an average of 17 (4-43) to 79 (50-97). in 19 patients, the proximal femur was kept as an autograft and was wrapped around the resection parts of the modular prosthesis as a cortical sleeve. Bone forma tion in these 19 hips took place in 18 at the dorsal, in 17 at the medial, in 8 at the lateral and in 7 at the ventral aspect of the femur. the bone bridge formed within the first year and persisted in amount and distribution during the time of observation.
In the 5 patients without a remaining cortical sleeve around the resection parts of the prosthesis, no bone bridge was formed. These 5 patients showed stress-shielding at the prosthesis-bone-junction. Until now, none of the 24 patients has undergone additional surgery.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Hip Prosthesis - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Postoperative Complications</subject><subject>Reoperation</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Treatment Outcome</subject><issn>1745-3674</issn><issn>0001-6470</issn><issn>1745-3682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEFrHCEUxyW0pGmSD5BDwUPpbVodHUdpLyE0SSHQHtrz4OiTNTjj9ukm7LfvLLtdKIWcfPh-__f0R8gVZx8FZ-YT72UnVG8U08YopfgJOdvdNULp9tWx7uUb8raUR8aEloadklNtpG6lOCM_bmHKaBN1GWt0S1ESwBPQOFOEp1hinqnFusK8TrbULW0lXdsaYa6FhpxSfgZP24YzugWL5YK8DjYVuDyc5-TX7defN_fNw_e7bzfXD42TvahNJ0Y3euV9CKZnXjJjRsM7xYTtmO-V6IUfpRWdAC1M60DortcdaG99G1QQ5-TDfu4a8-8NlDpMsThIyc6QN2VYYMONlgvI96DDXApCGNYYJ4vbgbNhZ3H4z-KSeXcYvhkn8MfEQdvSf3_o27I4C2hnF8sRa6Vetu-wL3ssziHjZJ8zJj9Uu00Z_2bES6_4_E98BTbVlbMIw2Pe4LzofeEPfwBrAZ65</recordid><startdate>1996</startdate><enddate>1996</enddate><creator>Helwig, Ulf</creator><creator>Bretschneider, Wolfgang</creator><creator>Kotz, Rainer</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1996</creationdate><title>Femoral cortical sleeve in revision arthroplasty 24 patients followed 2-10 years</title><author>Helwig, Ulf ; Bretschneider, Wolfgang ; Kotz, Rainer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c473t-53bcbd6ddff970d4099b915603a50d76373db4a353e8392ce385785e8dad2f6f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Hip Prosthesis - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Postoperative Complications</topic><topic>Reoperation</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Helwig, Ulf</creatorcontrib><creatorcontrib>Bretschneider, Wolfgang</creatorcontrib><creatorcontrib>Kotz, Rainer</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta orthopaedica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helwig, Ulf</au><au>Bretschneider, Wolfgang</au><au>Kotz, Rainer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Femoral cortical sleeve in revision arthroplasty 24 patients followed 2-10 years</atitle><jtitle>Acta orthopaedica</jtitle><addtitle>Acta Orthop Scand</addtitle><date>1996</date><risdate>1996</risdate><volume>67</volume><issue>5</issue><spage>424</spage><epage>430</epage><pages>424-430</pages><issn>1745-3674</issn><issn>0001-6470</issn><eissn>1745-3682</eissn><coden>AOSAAK</coden><abstract>22 women and 2 men with a mean age of 75 (51-90) years underwent replacement of the proximal femur for failed total hip arthroplasty by a modular femoral resection endoprosthesis (KMFTR). the indications were bone loss in aseptic loosening (n 8), fracture (n 12) and Girdlestone hips (n 4). After a mean follow-up of 5 (2-10) years, the Harris Hip Score improved from an average of 17 (4-43) to 79 (50-97). in 19 patients, the proximal femur was kept as an autograft and was wrapped around the resection parts of the modular prosthesis as a cortical sleeve. Bone forma tion in these 19 hips took place in 18 at the dorsal, in 17 at the medial, in 8 at the lateral and in 7 at the ventral aspect of the femur. the bone bridge formed within the first year and persisted in amount and distribution during the time of observation.
In the 5 patients without a remaining cortical sleeve around the resection parts of the prosthesis, no bone bridge was formed. These 5 patients showed stress-shielding at the prosthesis-bone-junction. Until now, none of the 24 patients has undergone additional surgery.</abstract><cop>Basingstoke</cop><pub>Informa UK Ltd</pub><pmid>8948243</pmid><doi>10.3109/17453679608996661</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1745-3674 |
| ispartof | Acta orthopaedica, 1996, Vol.67 (5), p.424-430 |
| issn | 1745-3674 0001-6470 1745-3682 |
| language | eng |
| recordid | cdi_crossref_primary_10_3109_17453679608996661 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Aged Aged, 80 and over Biological and medical sciences Female Femur - surgery Hip Prosthesis - methods Humans Male Medical sciences Middle Aged Orthopedic surgery Postoperative Complications Reoperation Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome |
| title | Femoral cortical sleeve in revision arthroplasty 24 patients followed 2-10 years |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T01%3A55%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Femoral%20cortical%20sleeve%20in%20revision%20arthroplasty%2024%20patients%20followed%202-10%20years&rft.jtitle=Acta%20orthopaedica&rft.au=Helwig,%20Ulf&rft.date=1996&rft.volume=67&rft.issue=5&rft.spage=424&rft.epage=430&rft.pages=424-430&rft.issn=1745-3674&rft.eissn=1745-3682&rft.coden=AOSAAK&rft_id=info:doi/10.3109/17453679608996661&rft_dat=%3Cproquest_cross%3E78591984%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=78591984&rft_id=info:pmid/8948243&rfr_iscdi=true |